Graduated: 2016
NPI: 1023551603
Practice Locations (3)
1266 WEDGEFIELD LANE
NEW ALBANY, OH 430549405
1021 W OAKLAND AVE, SUITE 310
JOHNSON CITY, TN 376042192
509 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 376042578
Source: CMS National Downloadable File, September 2026.